Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter that pertains to your chosen topic
• Lesson
• Link (Word doc): Week 6 Assignment Template (Use this template to complete the assignment.) 
• Minimum of 4 scholarly sources (from Week 5)

Introduction
This week you continue the individual assignment, working toward completing your Week 7 PowerPoint presentation.

PowerPoint Project Timeline

Due

Description

Week 4

PowerPoint Topic and Organization

Week 5

PowerPoint Outline Rough Draft

Week 6

PowerPoint Outline Final Draft, Images, and Sources

Week 7

PowerPoint Presentation

Week 8

PowerPoint Evaluation

Instructions
For the final outline, continue conducting research for your presentation, locating specific scholarly sources to include on your references page as needed.

Include and submit the following components:

• Page 1
  • Title page (title of speech, name of presenter, audience prepared for – school or institution, date). You can use this information to create your first slide in PowerPoint.
• Pages 2-3
  • General topic, specific topic, thesis statement (one sentence)
  • Introduction paragraph (written out)
  • Body in outline format using complete sentences
  • Summary or conclusion paragraph
• Pages 4-5
  • 5 visuals to be used in your PowerPoint
    • Beneath each visual describe why you selected this visual and how you plan to use this visual in your PowerPoint.
    • Paste the images onto the document. Do not simply provide a URL for each image.
• Page 6
  • References page with minimum of 4 authoritative, outside scholarly sources.
    • These sources can include the sources referenced during Week 5, but you are free to change those sources if they are no longer serving as support for your PowerPoint.
    • Anonymous authors or web pages are not acceptable.
    • References must be written in APA format with hanging indents, in alphabetical order, and with everything double spaced. The word “references” should be centered.
    • Include copyrighted image resources in this list. You can copy and paste these citations to use as the last slide in your PowerPoint.

Presentation Note

Do not copy and paste your table of contents, final outline, or visuals description plan into your PowerPoint slides in your Week 7 submission. Your speech slides must be created as a meaningful presentation.

• Use a few bullets for each slide with one phrase or one sentence for each bullet.
• Do not put any paragraphs into the slides.

Writing Requirements (APA format)

• Length: 6 pages (including the title page and references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font

Grading
This activity will be graded based on W6 Outline Final Draft Grading Rubric.

Course Outcomes (CO): 1, 3

Due Date: By 11:59 p.m. MT on Sunday

Instructions

Evaluate: Mass Media Impact

Evaluation Title: Pop Culture and Race, Ethnicity, Sexual Morality, and Gender

Bell hooks (nee Gloria Jean Watkins) is a professor and social activist who has written about feminism and popular culture.  For this assignment, you will watch bell hooks’ views on Cultural Criticism and Transformation in the video and read the accompanying extended transcript (Links to an external site.). (Note: there are several very difficult subjects discussed, and visual examples from movies are used to support these examples; more examples are used to further explore each of these themes throughout the remainder of this video.)

Your essay should include some discussion of the following questions:

1. Do you agree or disagree with hooks’ views?  Support your position.
2. Does mass media promote images of equality by leveling racial, ethnic, and gender differences, or do they promote inequality through exclusion and exaggeration of difference?
3. Does mass media reinforce the viewpoints of white, male, corporate culture, or does mass allow for the authentic expression of racial, ethnic, and sexual identity?  Give examples to support your position.

Specifications: 

Submit an 800-1000 word essay addressing the questions above. 

In your essay:

• Be sure to structure your essay with an introduction paragraph that includes a thesis statement, well-organized supporting paragraphs, and a conclusion that reiterates the main points of your argument. 
• Your argument should be supported by reputable research cited in APA format both in the body of the paper and in your references section.

Helpful Resources:

• Herzing University’s Tutoring and Writing Center 
• Grammar checker and writing help: https://www.grammarly.com/ (Links to an external site.)
• Use the Herzing Library to search for scholarly research sources.

Discussion: Treatment for a Patient With a Common Condition

Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29
Case: An elderly widow who just lost her spouse.

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86

Post a response to each of the following:
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?

Module 09 Discussion – Mental Healthcare for Adolescence & Children

Scenario

Ryan is a 12 year old diagnosed with Oppositional Defiant Disorder (ODD). As a small child, Ryan was first diagnosed with Attention Deficit, Hyperactivity Disorder. He had just started preschool and was unable to remain in one place for more than a minute or two. His parents had already had a very difficult time in disciplining him, because he would become very upset and throw temper tantrums when he could not do as he wished. He just seemed to be an unhappy, irritable child. This behavior continued in school. As time progressed, Ryan was diagnosed with Oppositional Defiant Disorder, because he continued to refuse to listen to adults and comply with the rules.

By the age of 12, he has begun to bully and annoy others. His parents have decided that the approaches they have used in the past are not working, and they are more afraid his behavior will only get worse.

Initial Post

Provide explanations for these questions and statements:

• Describe the behaviors apparent for each disorder in this scenario (Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder).
• If this behavior becomes worse and Ryan starts to violate the rights of others, what medical diagnosis will be given and why?
• Discuss at least two types of medication appropriate to treat Ryan and support your choices with rationale and credible resources
• Describe why therapy for the parent is important in this scenario including at least two supporting rationales.